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Lee, Mrs. Grace M. (Edw.) nee Grace Mildred Durling

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I be RED CROSS BADGE NUMBER AMERICAN RED CROSS 42935 Mr. NURSING SERVICES MILITARY SERIAL NUMBER ANNUAL QUESTIONNAIRE - 1945 Gr S CHECK IF YOUR LAST NAME HAS CHANGED NAME (Last, first, middle) Lee, Grace mildred (mrs) TELEPHONE NO. manchester 2-1612 1 IF GIVE MAIDEN NAME HUSBAND'S NAME MARRIED, nurling a PERMANENT ADDRESS (Street, city, zone, county, Ustate) C 84 main st manchester , Coun. e PRESENT ADDRESS (Street, city, zone, county, state) same NAME AND ADDRESS OF NEAREST RELATIVE OR FRIEND IN THE UNITED STATES RELATIONSHIP DATE OF BIRTH (Month, day, year) mr. games H. Durling 205 Hopedale St. Hopedale mass. Father Actober-15-1901 Single Married Separated Widowed D1 vorced WHAT LANGUAGES DO YOU SPEAK? YES NO none HIGH SCHOOL GRADUATE NAME OF COLLEGE OR DEGREE OR UNIVERSITY ATTENDED LOCATION INCLUSIVE DATES DIPLOMA MAJOR Boston 1932-33 I a Semmons Certificate P.H. Un. of California Berkeley 55 1939 u N/ Boston University Boston 1938-42 Social C B.S. Sciend ARE YOU CURRENTLY YES NO REGISTERED IN (State) ARE YOU CURRENTLY A MEMBER OF THE AMERICAN YES NO 11 REGISTERED? Coun mass. cardoonia arizona. NURSES' ASSOCIATION? PRESENT EMPLOYMENT If not employed, check POSITION TITLE (H.N., P.D., inst., staff nurse, etc.) SERVICE (Medicine, surgery, etc.) NAME OF HOSPITAL OR ORGANIZATION BY WHOM EMPLOYED PublicH lth nursing Consultant Bureau Aputhi CITY Health STATE mursing Coun. State Department A Health Hartford Coun HEALTH IF OTHER THAN GOOD, SPECIFY NATURE AND ANTICIPATED DURATION OF DISABILITY Fair Recreasing laminictomy. VOLUNTEER Expect SERVICE scgood. In 3a months The purpose of the following statements is to identify the nurses who can be counted upon to respond to a call to participate in a Red Cross chapter program. Please check the "Yes" box only if you are wi ling and able to serve if called on within the next 12 sonths. NAME AND ADDRESS OF THE CHAPTER IN WHOSE JURISDICTION YOU EXPECT TO LIVE FOR THE NEXT 12 MONTHS manchester Coun. 1. Teach home YES NO Attend an instructors' training program, if offered. (Funds are available for YES NO nursing classes training home nursing instructors. See local chapter.) 2 Serve in case YES NO only in home community Attend disaster institutes, if YES NO of disaster In other communities offered, in preparation for service 3. Teach nurse's YES NO 4. Accept membership on chapter com- YES NO 5. Assist with other chapter YES NO aide classes mittee should services be needed programs, as needed If you have not answered "Yes" to any of the questions listed under VOLUNTEER SERVICE, do you anticipate that YES NO you will be able to serve at some time in the future? UNABLE TO SERVE, GIVE MAJOR REASONS DATE a YOUR VALUE AS A RED CROSS NURSE DEPENDS ON YOUR ABILITY AND WILLINGNESS TO SERVE AND YOUR FAITHPOLNESS IN September 19,1945 IGNATURE year m. Lee KEEPING US INFORMED OF YOUR ADDRESS. PLEASE FILL IN THIS QUESTIONWAIRE AND RETURN If PROMPTLY TO THE COMMITTEE NAMED BELOW. ATTENTION Fill in committee name and address before sending questionnaire to nurse. SECRETARY NURSE RECRUITMENT COMMITTEE eith NURSE RECRUITMENT HARTFORD CHAPTER, A.R.C. COMMITTEE 125 TRUMBULL STREET 78504M HARTFORD, CONNECTICUT FORM 1045 Rev. July 1945 a

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Page
7
Source index
0
Type
photo
Media ID
258cc8a584086be8
Size
unknown

Document data

ID
2661813
Core
doc
Type
document
DTO data 
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    "coverageEndDate": {
        "day": 5,
        "logicalDate": "1947-11-05",
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    "ocrText": "I\nbe\nRED CROSS BADGE NUMBER\nAMERICAN RED CROSS\n42935\nMr.\nNURSING SERVICES\nMILITARY SERIAL NUMBER\nANNUAL QUESTIONNAIRE - 1945\nGr\nS\nCHECK IF YOUR LAST NAME HAS CHANGED\nNAME (Last, first,\nmiddle) Lee, Grace mildred (mrs)\nTELEPHONE NO.\nmanchester 2-1612\n1\nIF GIVE MAIDEN NAME\nHUSBAND'S NAME\nMARRIED, nurling\na\nPERMANENT ADDRESS (Street, city, zone, county, Ustate)\nC\n84 main st manchester , Coun.\ne\nPRESENT ADDRESS (Street, city, zone, county, state)\nsame\nNAME AND ADDRESS OF NEAREST RELATIVE OR FRIEND IN THE UNITED STATES\nRELATIONSHIP\nDATE OF BIRTH (Month, day, year)\nmr. games H. Durling 205 Hopedale St. Hopedale mass.\nFather\nActober-15-1901\nSingle\nMarried\nSeparated\nWidowed\nD1 vorced\nWHAT LANGUAGES DO YOU SPEAK?\nYES\nNO\nnone\nHIGH SCHOOL GRADUATE\nNAME OF COLLEGE OR\nDEGREE OR\nUNIVERSITY ATTENDED\nLOCATION\nINCLUSIVE DATES\nDIPLOMA\nMAJOR\nBoston\n1932-33\nI\na\nSemmons\nCertificate P.H.\nUn. of California\nBerkeley\n55 1939\nu\nN/\nBoston University\nBoston\n1938-42\nSocial\nC\nB.S.\nSciend\nARE YOU CURRENTLY\nYES\nNO\nREGISTERED IN (State)\nARE YOU CURRENTLY A MEMBER OF THE AMERICAN\nYES\nNO\n11\nREGISTERED?\nCoun mass. cardoonia arizona.\nNURSES' ASSOCIATION?\nPRESENT EMPLOYMENT If not employed, check\nPOSITION TITLE (H.N., P.D., inst., staff nurse, etc.)\nSERVICE (Medicine, surgery, etc.)\nNAME OF HOSPITAL OR ORGANIZATION BY WHOM EMPLOYED\nPublicH lth nursing Consultant\nBureau Aputhi CITY Health STATE mursing\nCoun. State Department A Health\nHartford\nCoun\nHEALTH\nIF OTHER THAN GOOD, SPECIFY NATURE AND ANTICIPATED DURATION OF DISABILITY\nFair\nRecreasing laminictomy. VOLUNTEER Expect SERVICE scgood. In 3a months\nThe purpose of the following statements is to identify the nurses who can be counted upon to respond to a call\nto participate in a Red Cross chapter program. Please check the \"Yes\" box only if you are wi ling and able to\nserve if called on within the next 12 sonths.\nNAME AND ADDRESS OF THE CHAPTER IN WHOSE JURISDICTION YOU EXPECT TO LIVE FOR THE NEXT 12 MONTHS\nmanchester Coun.\n1. Teach home\nYES\nNO\nAttend an instructors' training program, if offered. (Funds are available for\nYES\nNO\nnursing classes\ntraining home nursing instructors. See local chapter.)\n2\nServe in case\nYES\nNO\nonly in home community\nAttend disaster institutes, if\nYES\nNO\nof disaster\nIn other communities\noffered, in preparation for service\n3. Teach nurse's\nYES\nNO\n4. Accept membership on chapter com-\nYES\nNO\n5. Assist with other chapter\nYES\nNO\naide classes\nmittee should services be needed\nprograms, as needed\nIf you have not answered \"Yes\" to any of the questions listed under VOLUNTEER SERVICE, do you anticipate that\nYES\nNO\nyou will be able to serve at some time in the future?\nUNABLE TO SERVE, GIVE MAJOR REASONS\nDATE a\nYOUR VALUE AS A RED CROSS NURSE DEPENDS ON YOUR ABILITY AND WILLINGNESS TO SERVE AND YOUR FAITHPOLNESS IN\nSeptember 19,1945\nIGNATURE year m. Lee\nKEEPING US INFORMED OF YOUR ADDRESS. PLEASE FILL IN THIS QUESTIONWAIRE AND RETURN If PROMPTLY TO THE\nCOMMITTEE NAMED BELOW.\nATTENTION\nFill in committee name and address before sending questionnaire to nurse.\nSECRETARY\nNURSE RECRUITMENT COMMITTEE\neith\nNURSE RECRUITMENT\nHARTFORD CHAPTER, A.R.C.\nCOMMITTEE\n125 TRUMBULL STREET\n78504M\nHARTFORD, CONNECTICUT\nFORM 1045 Rev. July 1945\na"
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